Fang Te-Yung, Rafai Eric, Wang Pa-Chun, Bai Chiy-Huey, Jiang Peng-Long, Huang Shu-Nuan, Chen You-Ju, Chao Yi-Ting, Wang Chen-Hsu, Chang Chia-Hsiu
Department of Otolaryngology, Cathay General Hospital, Taipei, Taiwan; Fu Jen Catholic University School of Medicine, New Taipei City, Taiwan.
Ministry of Health and Medical Services, Suva, Fiji.
Int J Pediatr Otorhinolaryngol. 2016 Jun;85:50-5. doi: 10.1016/j.ijporl.2016.04.001. Epub 2016 Apr 7.
Otitis media (OM), as a common infectious disease, is a major cause of hearing impairment among the general population. OM remains a major public health threat in the Pacific islands, but the risks of OM have not been thoroughly explored in this region. The objective of this study is to investigate the prevalence, clinical features, and quality-of-life impacts of OM in Fiji.
In the medical service trip entitled "Healing and Hope - Taiwan Cathay Heart and Hearing Medical Mission to Fiji" (TCHHMMF), we conducted a cross-sectional OM survey study in Suva and Sigatoka areas (Korolevu, Cuvu, and Lomawai) in the summer of 2015. The otitis media - 6 (OM-6) was used to survey the OM-related quality of life.
In the 467 pediatric patients (aged 0-18 years old) screened, 13 (2.78%) have acute otitis media (AOM), 37 (7.92%) have otitis media with effusion (OME), and 19 (4.1%) have chronic otitis media (COM). Age (OR 0.53, 95% CI: 0.36-0.77) is a significant predictor of AOM, whereas male gender (OR 2.46, 95% CI: 1.13-5.37), smoke exposure (OR 2.81, 95% CI: 1.01-7.82), and concomitant chronic sinusitis (OR 6.05, 95% CI: 2.31-15.88) are significant predictors of OME. The mean OM-6 item scores are highest in caregiver concerns (3.8), physical suffering (3.7), and hearing loss (3.4) domains.
OM is an important primary care disease in Fiji that remains under-served. It is critical to educate professionals, parents, and patients to detect and to improve care for OM.
中耳炎（OM）作为一种常见的传染病，是普通人群听力受损的主要原因。在太平洋岛屿地区，中耳炎仍然是一项重大的公共卫生威胁，但该地区中耳炎的风险尚未得到充分研究。本研究的目的是调查斐济中耳炎的患病率、临床特征及其对生活质量的影响。
在名为“治愈与希望——台湾国泰心脏与听力医疗团赴斐济使命”（TCHHMMF）的医疗服务之行中，我们于2015年夏季在苏瓦和锡加托卡地区（科罗莱武、库武和洛马维）开展了一项中耳炎横断面调查研究。采用中耳炎-6（OM-6）量表来调查与中耳炎相关的生活质量。
在筛查的467名0至18岁儿科患者中，13名（2.78%）患有急性中耳炎（AOM），37名（7.92%）患有中耳积液（OME），19名（4.1%）患有慢性中耳炎（COM）。年龄（比值比[OR]0.53，95%置信区间[CI]：0.36 - 0.77）是急性中耳炎的显著预测因素，而男性（OR 2.46，95% CI：1.13 - 5.37）、接触烟雾（OR 2.81，95% CI：1.01 - 7.82）以及合并慢性鼻窦炎（OR 6.05，95% CI：2.31 - 15.88）是中耳积液的显著预测因素。中耳炎-6量表各项目的平均得分在照顾者担忧（3.8）、身体痛苦（3.7）和听力损失（3.4）领域最高。
中耳炎是斐济一种重要的初级保健疾病，但仍未得到充分治疗。对专业人员、家长和患者进行教育，以发现并改善中耳炎的治疗至关重要。
